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ONSITE WASTEWATER TREATM(�SYSTEM PERMIT <br /> SAN JoAQEnm Coun,Y ENVIRONMENTAL HEALTH DEPARTMENT 60 E Mm STREET-STOCKTON CA 9$202-(209)468401) <br /> Nom-REFUNDABLE PERMIT CALL L209)953-7697 FOR INSPECTIONS EXPIRES I YEAR FROM DATE ISSUED <br /> Joe AMRESS CITYMP <br /> CROSS STREETVr —APN C) -7 PARCEL SIZE <br /> 7 <br /> OWNERNAME PHONE <br /> OWWRAODMBS cayisTATmip . -22 U <br /> CONTRACTOR PHONE <br /> CONTRACTOR ADDRESS <br /> cffy/STATEMP <br /> Lic;EmsE QC-42 QC46 OTHER NUMBER F RATION DATE <br /> WATER TABU DEPTH: ft, GEOGRAPHICAL INFORMATION: C0Ord1n2WS X Y <br /> , <br /> PERC TEST S - 6,'A <br /> Fq��PERMIT# LAND USE APPLICATION 0 f'/1 <br /> TYPE OF WORK: D NEW INSTALLATION 0 REPAWADOITLON 0 EMOREERDESIGNED IALTERNATrVE <br /> 11 REPLACEMENT 0 OUT-OF-SERVICE SEPTIC SYSTEM Ll DESTRUCTION <br /> INSTALLATION WILL SERVE: n RESIOFNCE 0 COMMERCIAL 11 OTHER <br /> NUMBER OF LIVING UNITS: NUMBER OF BEDROOMS: NUMBER OF EMPLOYEES: <br /> Q SEPTIC TANK TYPEIMFG CAPACITY gal #OF COMPARTMENTS <br /> 13 GREASE TRAP TYPE/MFG CAPACITY gal #OFCOMPARTMENTS <br /> DISTANCE TO NEAREST: WELL ft FOUNDATION— ft PROPERTY LINE <br /> C1 LIFT STATtON SIZE TYPE OFPUMP_C1 PKGTXPLANT Q SAND OIL SEPARATOR(ENCLOSED SYSTEM <br /> [3 LEACH LINES 11 LEACHING CHAMBERS #OF LINES _ LENGTH OF LINES —ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE—ft <br /> 13 FILTER BED WIDTH ft LENGTH ft DEPTH ft <br /> Diwmcf To NEAREST WELL_ft FOUNDATION —ft PROPERTY UNE— ft <br /> &I MOUNDED WIDTH fl LENGTH ft DEPTH ft <br /> DISTANCE To NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> Q SUMPS "W" ft LENGTH ft DEPTO <br /> DISTANCE TO NEAREST WELL ft FOUNDATION ft PROPERTY LINE <br /> 13 DISPOSALPONDS WwTH -ft LENGTH It OEM R <br /> DISTANCE TO NEAREST WELL ft FOUNDATION —ft PROPERTY LINE ft <br /> El SEEPAGE WS NUMBER WIDTH ft DEPTH ft <br /> DISTANCE TO NEAREST WELL_ft FOUNDATION_ft PROPERTY LINE <br /> I HEREBY CERTIFY THAT I HAVE PREPARED THIS APPLICATION AND THE WORK WILL BE DONE IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES. <br /> STATE LAWS AND RULES AND REGULATIONS OF SAN JOAQUIN COUNTY. <br /> MIN11141:11M.24 HOUR ADVANCE NOTICE REQUIRED FOR INSPECTIONS-PLEASE CALL(209)953-7697 <br /> If - 4 1 7-? 71 TITLE( DATE <br /> PAVA& <br /> t,;. <br /> I t r <br /> it <br /> OA <br /> "[&JEIVr k, <br /> H <br /> 21- DEPARTMENT yUSEjONI- <br /> Application Accepted By Date Area Employ"ID# <br /> Final Inspection By Date 0 SPECIAL PERMIT-Approved by— <br /> Chamcleir of Soil to Depth of 3 Ft, PIVSump Soil Ctmracter. <br /> COMMENTS <br /> PE SC Received -Chop Amount Date Invoice Permit m <br /> iU <br /> Cc" INFO By Cash Remitted Service Request# <br /> -3( <br /> �2 <br /> 42-DI ONSITE WASTEWATER TRTMNT SYSTEM PSRM17�,/ <br />